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HELP US CREATE THE BEST EXPERIENCE FOR YOU:

Kismet Retreat Intake Form

To ensure your time at the Kismet Retreat is as seamless, comfortable, and enriching as possible, we kindly ask you to complete this Attendee Information Form before your arrival.

 

This form will help us to consider and accommodate any notable medical conditions, food allergies or preferences, and other personal needs that may enhance your retreat experience. Your well-being is our priority, and this information allows us to plan accordingly so you can fully immerse yourself in the experience. Please take a few moments to complete the form at your earliest convenience. Return the completed information to us within three days after your event registration. Thank you! 

How is your physical ability? Can you walk a mile on an easy forest trail?
Tel us about your energy level... Are you an early bird or a night owl? Afternoon crash? Help us design a schedule that best benefits your needs:
What do you eat? What don't you eat? Check all that apply then share details about your preferences in the box. Help us build a menu that will be nourishing and enjoyable.
Check all types of juice ingredients you will consume:
Are you a go with the flow person or do you prefer to follow a schedule?
Do you have any health issues, heart problems, heart conditions, medical concerns, etc.? If YES, please share details in the MEDICATIONS section below.
Are you allergic to cacao or chocolate?
Are you pregnant, breastfeeding, or is any possibility you are pregnant?
Share detailed health info here please. Are you taking any medications? Are you taking any SSRI drugs? (Certain antidepressants and antipsychotics fall into this category. Please check your meds and respond accordingly so we can adjust your cacao ceremony dosage.)
Anything else you wish to share about yourself?

Why are you coming? What has drawn you to this event? Is there a particular part of the description that you are excited about experiencing?

What are your goals or desired outcomes for yourself through participation in this event?

What do you hope to learn? What do you hope to leave with?

Please check each box below to confirm the following:

Thanks for submitting your waiver.

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